| NPI | 1689612616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO 2847) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AL 240) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 2847) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 240) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-03-07 |